Individual
REBEKAH CHARCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501
(701) 530-7000
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
R 172352-2
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R45088
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473378
—
ND
01
—
N725460
MEDICARE
ND
Enumeration date
02/19/2014
Last updated
07/20/2018
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